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Abstract #25789 Published in IGR 12-2
Comparison between ophthalmologists and community health workers in screening of shallow anterior chamber with oblique flashlight test
Nuriyah Y; Ren X-T; Jiang L; Liu X-P; Zou Y-HChinese Medical Sciences Journal 2010; 25: 50-52
Objective: To study the agreement between ophthalmologists and community health workers in detecting shallow anterior chamber with oblique flashlight test. Methods: Totally 425 subjects were given an eye examination in a community healdi center. The anterior chamber depth of each subject was examined by one ophthalmologist and two trained community health workers (one nurse and one non-professional health worker) using oblique flashlight test. Inter-observer agreement was determined using the weighted kappa statistic. Results: Among the enrolled subjects, 148 (35%) were male and 277 (65%) were female. Good agreement was noted in all the three observers. The comparison between the ophthalmologist and the nurse showed a kappa statistic of 0.42 for both eyes (P<0.001). The kappa statistic was 0.54 and 0.52 for right and left eyes respectively between the ophthalmologist and the non-professional health worker (P<0.001). As for agreement between the nurse and the non-professional healdi worker, the kappa statistic was 0.49 and 0.38 for right and left eyes, respectively (P<0.001). Conclusion: The oblique flashlight test may be used as an applicable tool by trained community healdi workers for screening of shallow anterior chamber and play a role in blindness prevention in community.
Y.-H. Zou. Department of Ophthalmology, Sekwa Eye Hospital, Beijing 100088, China. yanhong.zou@gmail.com
Classification:
1.6 Prevention and screening (Part of: 1 General aspects)
9.3.4 Primary angle closure suspect (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
2.4 Anterior chamber angle (Part of: 2 Anatomical structures in glaucoma)
